Cigarette smoking remains a major cause of premature death and nicotine dependence
is a major barrier to smoking cessation.
1
,WHO. WHO report on the global tobacco epidemic 2017: monitoring tobacco use and prevention
policies.
WHO,
Geneva, SwitzerlandPublished July 19, 2017
https://www.who.int/tobacco/global_report/2017/en/
Date accessed: November 12, 2020
2
The DSM-5 is the primary guide to psychiatric diagnoses in the U.S. The 5th revision,
released in 2013, replaced the term nicotine dependence and instead assigns the diagnosis
tobacco use disorder (TUD) to individuals experiencing clinically significant impairment,
as indicated by meeting at least 2 of 11 specified criteria.
HHS
The health consequences of smoking—50 years of progress: a report of the Surgeon General.
The health consequences of smoking—50 years of progress: a report of the Surgeon General.
HHS, Centers for Disease Control and Prevention, National Center for Chronic Disease
Prevention and Health Promotion, Office on Smoking and Health,
Atlanta, GAPublished January 2014
https://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdf
Date accessed: November 12, 2020
3
Clinical practice guidelines encourage clinicians to routinely assess and treat tobacco
use and dependence.
4
Patient's self-reported smoking rate is often used to guide clinical decision making,
but surprisingly, no previous report has described the proportion of cigarette smokers
who meet DSM-5 TUD criteria across the full range of cigarette use patterns in a representative
sample of the U.S. population. Lighter smoking is frequently perceived as less harmful.
Consequently, such smokers may be less likely to be identified by medical providers
and less likely to receive appropriate treatment.
Treating tobacco use and dependence: 2008 update. Agency for Healthcare Research and
Quality.
Updated February 2020
https://www.ahrq.gov/prevention/guidelines/tobacco/index.html
Date accessed: November 12, 2020
5
Information on the true prevalence of TUD in this population can directly inform
clinical practice.To read this article in full you will need to make a payment
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REFERENCES
- WHO. WHO report on the global tobacco epidemic 2017: monitoring tobacco use and prevention policies.WHO, Geneva, SwitzerlandPublished July 19, 2017https://www.who.int/tobacco/global_report/2017/en/Date accessed: November 12, 2020
- The health consequences of smoking—50 years of progress: a report of the Surgeon General.HHS, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, GAPublished January 2014https://www.ncbi.nlm.nih.gov/books/NBK179276/pdf/Bookshelf_NBK179276.pdfDate accessed: November 12, 2020
- Diagnostic and Statistical Manual of Mental Disorders (DSM-5).American Psychiatric Publishing, Washington, DC2013
- Treating tobacco use and dependence: 2008 update. Agency for Healthcare Research and Quality.Updated February 2020https://www.ahrq.gov/prevention/guidelines/tobacco/index.htmlDate accessed: November 12, 2020
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- The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 (AUDADIS-5): procedural validity of substance use disorders modules through clinical re-appraisal in a general population sample.Drug Alcohol Depend. 2015; 148: 40-46
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Article info
Publication history
Published online: December 22, 2020
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© 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
